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Second, beautiful fades are not the inevitable result when we hold off on washing our jeans for months and months. What is the inevitable result of this practice is jeans that break down prematurely.
Yes, you want your jeans to be snug when you first try them on. Some people, though, take this too far, buying jeans that they can barely fit into in the store. Then, after the first wash, they end up with something that is unwearable.
We need this measurement because it helps us to position the focus of your lens prescription in the right place for your frames. If your doctor did not include a PD measurement in your prescription, please feel free to use our simple guide (PDF) to take a measurement for yourself. You can also head to the nearest JINS, where our trained opticians will gladly take a measurement for you.
The AXIS ELITE is fastened together with military-grade shock cord and allows the firearm to flex closer into the body independently of the magazine for better concealment. This connection also allows the holster to flex where needed while performing other acts like getting in and out of vehicles and bending over.
(1) Controlling the axises: Long press A,B or C button to record the current position of the axis, single tap A,B or C button, stabilizer will automatically turn to the point that were been recorded on previously.(2) Controlling Follow Focus: Long press A,B or C button to record the focus range on the lens, single tap A,B or C button, the lens will automatically turn to the focus range that were been recorded on previously.(3) Controlling zoom in/out: Long press A or B button to record the points, single tap A or B button to zoom in/out between points A and B.( Since unable to obtain the camera range, the point A and B will be inaccurate.)
Keratometry is the measurement of corneal curvature and the refracting power of the cornea. It determines the degree of astigmatism, if present, as well as the axis of its orientation. The findings are used for IOL calculations as well as to help identify corneal pathology, as a starting point for refraction and as an aide in classifying refractive error as corneal vs axial. The amount of astigmatism is calculated by finding the difference between the two principle meridians.
Corneal topography is used to assess the shape of the anterior corneal surface, essentially creating a 2D map. Specifically for cataract surgery it can help verify the degree and axis of corneal astigmatism found with biometry and more importantly how regular or irregular the astigmatism is. Since toric IOLs will only correct regular astigmatism topography is an important tool in determining which astigmatism treatment option is appropriate for the patient [6][7].
Accurate preoperative and intraoperative marking of the eye is crucial to achieving good outcomes using toric IOLs. Immediately prior to surgery, either in the holding area or the OR, the patient is seated upright and while fixating straight ahead the limbus is marked at the 3:00, 6:00 and 9:00 positions with a fine tip sterile marking pen. This can be done free hand or using specially designed instruments available to aide in accurately marking the eye. This must be done with the patient seated upright due to cyclorotation of the eye that occurs when lying flat. Once the patient is prepped and draped the steep axis of the cornea is marked using a toric axis marker. Many styles of toric axis markers are available. After the cataract is removed the toric lens is then inserted into the eye and rotated into position so the axis marks on the IOL are aligned with the pre-marked axis on the cornea.
It is possible for a Toric IOL to rotate from its initial position as the eye heals following the surgery and the capsule contracts around the IOL. For every degree the lens is rotated off axis, there is a 3.3% reduction in toric IOL power[18]. The higher the cylinder power the more significant is this effect. If vision becomes unsatisfactory it may become necessary to return to the OR for lens repositioning[14]. However, compared to the implantation of a non-toric IOL, a systematic review in 2016 found no significant difference in the prevalence of post-operative complications (4.2% in the toric group vs. 2.3% in the non-toric group in 1,032 patients)[17]. In addition, according to the review, most toric IOLs rotated less than 5 degrees[17].
Historically, a single incision along the steep axis had the potential to correct a small, but clinically significant amount of astigmatism: 0.5 D according to Eyerounds and 1.0 D according to Kaufmann et al[14][24]. In recent years, as cataract surgery has evolved, phaco incisions have gotten progressively smaller, from 3.2 mm to 2.4 and even as small as 1.4mm. In a study comparing 2.2 mm and 3.0 mm on axis incisions, researchers found that the mean change in astigmatism between the two were significantly different, with the 2.2 mm incision inducing only 0.10 +/- 0.08 D and the 3.0 mm incision producing 0.32 +/- 0.20 D[26]. While microincisions are good for patients with little to no preexisting astigmatism, as they reduce the amount of surgically induced astigmatism, their usefulness as a technique to reduce astigmatism is also minimized[26].
A second phaco incision can be placed on the opposite side of the same axis increasing the astigmatic effect, up to 1.5 D[8]. Extending the width of the incision may provide greater astigmatic results, although this may necessitate suturing of the wound[10].
Flipping the axis refers to changing the direction of the steep axis of astigmatism and usually occurs as a result of over-correction (with any of the above techniques). This can lead to residual astigmatism on the opposite meridian of the original axis. While many studies have shown that the magnitude of astigmatism is more important than the axis of astigmatism in terms of visual perception, the decision to over-correct astigmatism, thereby flipping the axis, or under-correct astigmatism is not straightforward[4].
In a patient with clinically significant astigmatism who has used spectacles for treatment, their brains might be accustomed to correcting for a certain plane of astigmatism[31]. It may be necessary to decide whether to over-treat, leading to flipping the axis, or to under-treat, keeping residual astigmatism at the same axis. Most toric IOL calculators, by default, do not suggest an axis flip when determining which lens to use [32]. The Johnson & Johnson, Alcon, and Hoya calculators do permit axis flips, but will make note of it for the surgeon to ultimately decide[32].
The benefit of flipping the axis in older patients who already have ATR astigmatism is that they are more likely to have independence from spectacles if the lowest amount of residual astigmatism is targeted[32]. However, occasionally patients with small amounts of myopic, ATR astigmatism actually have an increased depth of focus that may counteract presbyopia increasing their near visual acuity[33]. It is possible that these patients may be dissatisfied with loss of this increased depth of focus if all astigmatism is corrected[30].
We imagine two gases diffusing through one another in a direction parallel to the axis of z, the motion being the same at all points in a plane perpendicular to the axis of z. The gases are accordingly arranged in layers perpendicular to this axis.
Recently, the Android world has been big on testing new ways to increase screen size and flexibility. The goal Transcend the line between tablet and phone, and improve the comfort and durability of smart phones. Last month, Samsung debuted the Galaxy Round, which features a whopping 5.7-inch screen that is bent around the vertical axis. LG countered with the G Flex, which offers a 6-inch screen that bends along the horizontal axis, and features a self-healing plastic back that can repair daily scratches and nicks in about a minute. 59ce067264
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